A case of multi-focus gastric adenocarcinoma occurring synchronously with an associated gastric GIST

Abstract

Background

The occurrence of multiple primary malignancies in the same patient is rare but, in order to improve prognoses among gastric cancer patients, the early identification of further cancers is considered to be of crucial clinical importance.

Aim

In this paper we have presented our observations relating to a case of multi-focus gastric adenocarcinoma occurring synchronously with an associated gastric Gastro-Intestinal-Stromal-Tumour (GIST).

Case Report

We report a case of multi-focus gastric adenocarcinoma occurring synchronously with an associated gastric GIST in a 78-year-old man treated in the Great Poland Cancer Center.

Conclusions

We conclude, in common with other authors, that in order to increase the incidence of early diagnosis in cases of early stage carcinoma, and thus prolong the patients’ lives, or even cure them completely, it is essential to identify high risk patients, especially in the case of primary carcinoma recognition during the actual diagnosis or in the past. Diagnosis must be thorough and precise, while treatment applied should be adequate. After surgery, the patient should be continuously monitored.